Supervisor, Care Management, Utilization Review

Hackensack Meridian Health Inc.; Neptune Township (NJ); On-site; USD 90,000 - 120,000; Full time

Job summary

Hackensack Meridian Health Inc. in New Jersey seeks a Supervisor, Care Management to oversee utilization management, care coordination and discharge planning across the department.

The role emphasizes performance improvement, staff caseload planning and ensuring evidence-based care while meeting regulatory and payor requirements; RN or MSW with 3+ years in acute care preferred, with strong communication and leadership skills.

Qualifications

• Bachelor's degree, Nursing or Master's Degree in Social Work.
• 3+ years full-time experience in an acute care setting.
• Familiar with hospital resources, community resources, and utilization management.
• Care coordination, case management or discharge planning experience.
• Effective decision-making and problem-solving skills with leadership ability.
• Excellent verbal, written and presentation skills; proficient with MS Office/Google Suite.

Responsibilities

• Integrates and coordinates utilization management, care coordination, discharge planning and performance improvement activities for all care managers.
• Oversees department caseloads and plans staffing to meet needs and length of stay targets.
• Ensures care meets evidence-based practice standards and regulatory/payor requirements.

Skills

Care coordination

Discharge planning

Decision making

Leadership

Communication

Problem-solving

Computer skills

Education

BSN

MSW

Tools

Microsoft Office

Google Suite

Job description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Supervisor, Care Management role integrates and coordinates utilization management, care coordination, discharge planning functions and performance improvement activities for all care managers. The Supervisor, Care Management is accountable for oversight of the department’s designated team member caseloads and plans effectively in order to meet staffing needs, manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and regulatory/payor requirements.

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree, Nursing or Master's Degree in Social Work.
• At least 3 years full time experience in an acute care setting.
• Familiar with hospital resources, community resources, and/or resource/utilization management.
• Care coordination, case management or discharge planning experience.
• Effective decision-making /problem-solving skills, demonstration of creativity in problem-solving, and influential leadership skills.
• Excellent verbal, written and presentation skills. Moderate to expert computer skills.
• Excellent written and verbal communication skills.
• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Licenses and Certifications Required:

• Registered Nurse (RN) with current New Jersey (NJ) License, or Licensed Social Worker (LSW) or Licensed Clinical Social Worker (LCSW).
• Case Management certification by a nationally recognized organization within 1 year.

Licenses and Certifications Preferred:

• Basic Cardiac Life Support Certificate.